Fall Protection Checklist

Project Name:	Project Location:
Supervisor Name:	Fall Protection Location:
Date:	Time:

❐	Step	Action	Description
❐	1.	❐   Choose appropriate fall protection system	Consider the work to be performed, the training needed for each system, the project conditions and the availability.
		❐   Powered Elevating Work Platform	Perform system checks, ensure level ground, operate according to manufacturers’ recommendations, tie off to PEWP or to adequate anchor point above at all times.
		❐   q Horizontal Lifeline	Install and use according to engineer’s design drawings, use min. ½” steel wire, <30 ft. between vertical posts, <15” sag in a 30 ft. span, 3 clips tying wire at beam end, engineer’s design drawings available, workers using double lanyard, and workers tied off at all times.
		❐   Vertical Lifeline	Column adequately secured with ½” steel wire or 5/8” polypropylene rope, vertical lifeline attached, vertical lifeline with rope grab extends from top of column to base, 1 worker using lifeline at a time.
		❐   Self-Retracting Lifeline (SRL)	Anchor to approved roof anchor, 1 worker using SRL at a time, must be moved periodically, lifeline locks up in quick movement, automatically retracts when tension removed, minimizing fall distance.
		❐    Guardrail, Scaffolding, etc.	Removes fall potential by providing a physical barrier, must meet minimum horizontal and vertical forces, must have top rail, midrail and toe board, scaffolding must be built accordingly.
❐	2.	❐   Frequent inspections of fall protection components	All components of fall protection systems are to be inspected prior to each use by each worker. If deficiency is found, remove equipment from service.
		❐    Harness	Burns, cuts, loose stitching, frayed webbing, D-rings, grommets and buckles not worn or damaged, CSA stamp.
		❐    Lifelines	Burns, cuts, frayed material, no discoloration or other damage.
		❐   Lanyards	Burns, cuts, loose stitching, frayed webbing, CSA stamp, shock absorber in good condition, locking snap hook.
		❐   Anchor Points	Able to support 3600 lbs., verified by a competent worker.
		❐   PEWP	Maintenance log, manufacturer’s recommended inspections.
		❐   Rope Grab	Damage, cracking, dents, bends, connecting rings centered, rust, moving parts working smoothly, other wear.
❐	3.	Rescue procedure chosen	Refer to Construction Regulations, Sec. 26 for employer’s Fall Rescue requirements.
❐	4.	Engineer’s design drawings and manufacturer's specifications available	Engineer’s design drawings for: ❐q Horizontal lifeline ❐ Scaffold system ❐Anchor systems Manufacturer's specifications for: ❐ Anchor systems ❐PEWP ❐ SRLs ❐ Harnesses ❐ Rope grab